rever wave 11

What is MCO?

• Medicaid Replacement

• Medicare Replacement

• PHMO

What code under the Medicare’s response indicates that there is a Medicare Replacement?

• OPTION CODE 1

• OPTION CODE C

A tool used in identifying if there is an authorization required for a specific heath plan.

Medicare should not be removed when allocating MHMO plan on ECF.

• True

• False

What is the correct visit for no auth required

Tool that needs to be checked when working on Medicaid

QMB stands for

• Qualified Medicare Beneficiary

• Qualified Medicaid Beneficiary

MRN stands for

Used to view eligibility and benefits

• E-icon

• Relay Clearance

• eCF

• Magnifying glass

CDH stands for